中医针刺推拿联合骶管注射对腰椎间盘突出症患者腰椎疼痛情况及腰椎功能的影响

Effects of traditional Chinese medicine acupuncture and massage combined with sacral canal injection on lumbar pain and lumbar function in patients with lumbar disc herniation

目的探讨中医针刺推拿联合骶管注射对腰椎间盘突出症患者腰椎疼痛情况及腰椎功能的影响。方法选择2019年1月至2021年1月在我院进行治疗的100例腰椎间盘突出症患者为本次研究对象,以随机数字法将其分为对照组与观察组,各50例。对照组患者采用骶管药物注射疗法,观察组在对照组基础上给予中医针刺及推拿。比较两组患者的临床疗效及治疗前、后的血清炎症细胞因子[C反应蛋白(CRP)、白细胞介素-6(IL-6)]、神经肽Y(NPY)水平、疼痛P物质(SP)、Oswestry功能障碍指数(ODI)评分。结果观察组患者的治疗总有效率显著高于对照组,差异具有统计学意义(P<0.05)。治疗前,两组患者的血清CRP、IL-6水平比较,差异均无统计学意义(P>0.05);治疗后,两组患者的血清CRP、IL-6水平均显著降低,且观察组显著低于对照组,差异具有统计学意义(P<0.05)。治疗前,两组患者的血清NPY、SP水平及ODI评分比较,差异均无统计学意义(P>0.05);治疗后,两组患者的血清NPY、SP水平以及ODI评分均显著降低,且观察组显著低于对照组,差异具有统计学意义(P<0.05)。结论中医针刺推拿联合骶管注射治疗腰椎间盘突出症患者的效果较好,可降低炎症细胞因子水平,改善患者的腰椎功能,解除腰椎疼痛,具有显著的临床应用价值。

Objective To explore the effects of traditional Chinese medicine acupuncture and massage combined with sacral canal injection on lumbar pain and lumbar function in patients with lumbar disc herniation.Methods A total of 100 patients with lumbar disc herniation treated in our hospital from January 2019 to January 2021 were selected as the objects of this study.The patients were divided into control group and observation group by random number method,with 50 cases in each group.The control group was treated with sacral canal drug injection,while the observation group was treated with traditional Chinese medicine acupuncture and massage on the basis of the control group.The clinical efficacy and the levels of serum inflammatory cytokines[C-reactive protein(CRP),interleukin-6(IL-6)],neuropeptide Y(NPY),pain substance P(SP)and Oswestry dysfunction index(ODI)score before and after treatment were compared between the two groups.Results The total effective rate of treatment in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in the levels of serum CRP and IL-6 between the two groups(P>0.05);after treatment,the levels of serum CRP and IL-6 in the two groups significantly decreased,those in the observation group were significantly lower than the control group,and the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in serum NPY and SP levels and ODI score between the two groups(P>0.05);after treatment,the serum NPY and SP levels and ODI score in the two groups significantly decreased,those in the observation group were significantly lower than the control group,and the differences were statistically significant(P<0.05).Conclusion Traditional Chinese medicine acupuncture and massage combined with sacral canal injection is effective in the treatment of patients with lumbar disc herniation,it can reduce the levels of inflammatory cytokines,improve lumbar function and relieve lumbar pain,which has significant clinical application value.